In-Patient Medical Claims-PC

In-Patient Medical Claims-PC

IMC Patient Claims (IMC PC)

To View the Claim;

Select Medicare\Claims\000

In Payer Type, Type the three character descriptor for the Health Fund or 000.

Waiting Report
  1. To review the Status of this claim a Status Request must be done.
  2. Select In- Patient Medical Claim\PC from list
  3. For a Status Request, select the claim and select One Status.
  4. If Status is Complete and Ready or Reported
  5. Claim will transfer to Reported View.
  6. No Further action is required.
If Claim has not been paid in full then payment can be made in Patient\Account Enquiry when patient pays provider.

  1. Where Claim is Rejected, Click Request Report to view why rejection has occurred.
  1. Claim will go to Action file to be journaled and Re-invoiced correctly.
  1. Where the patient has Paid full amount, Receipt should be Journaled to Credit funds and used to pay re-invoiced claim.